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RCIA Application Form

Rite of Christian Initiation for Adults

Personal Information

Full Name: *

First Name

Last Name

Middle Name

Maiden Name

Mailing Address

Street Address

Address continued

City

State

Zip

Date of Birth: MM/DD/YYYY

Place of Birth:

Father's Full Name:

Mother's Full Name (include Maiden Name):

Do you have children?

How many children do you have?

Religious History

Are you baptized?

Date of Baptism: MM/DD/YYYY

If baptized, please provide a copy of your certificate of Baptism.

Denomination:

Name of Church of Baptism:

Church Address

Street Address

Address continued

City

State

Zip

If Catholic, have you received the sacrament of Confirmation?

Date of Confirmation: MM/DD/YYYY

Church of Confirmation:

City

State

Zip

If Catholic, have you received the sacrament of First Communion?

Date of First Holy Communion: MM/DD/YYYY

Church of First Holy Communion:

City

State

Zip

Marital Status

Scheduled date and location of Wedding:

Type of Wedding: CivilCatholicother Christian

Name of (intended) Spouse:

Religion of (intended) Spouse:

Is this your first marriage?

Is this your (intended) Spouse's first marriage?

Faith Questionnaire

When you were a child, was your family religious?

Please describe any type of religious formation, formal or informal, you received as a child.

Have you ever participated in another church or religion as an adult?

Name of church/religion:

Please describe your previous religious experience. At what age and for how long did you participate?

If you wish, describe any other people, places, objects or events in your life that you would identify as sacred.

Describe any experiences of serving others, whether among friends, family, at work or as a volunteer, that have affected your outlook on life.

Do you experience God in your life?

Describe your experience:

What has been your experience with prayer? Please mention any of the various styles or ways of prayer you have tried. If you currently have a regular practice of prayer, please describe how you pray now.

Are you familiar with the Bible?

How often do you read the Bible?

Do you have a clear notion of who Jesus Christ is?

Who is Jesus to you in your life now?

Are you familiar with the Catholic Church?

Please describe below:

What or who has prompted you to seek religious instruction at this time? What are you looking for in coming to the Catholic Church? Please be specific.

What is your level of interest in the Roman Catholic Church?

Please explain:

Do you know any Catholics in this parish?

Please list their names below, and indicate how they have helped you spiritually or otherwise.

Those who pursue religious instruction with the Catholic Church are accompanied through the process by a sponsor who is already Catholic.

Do you know anyone in the parish who would like to be your sponsor?

Possible Sponsor:

Phone Number:

What do you presently value in your life?

Is there any other way we might be of help to you? Do you have any specific questions, special needs or concerns at this time? Please feel free to write down any other information that you think would help our pastoral staff give you guidance you need to help your spiritual journey.

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